Menstrual knowledge associated with adolescent’s attitude of intellectual disability on facing menstruation in Bantul, Indonesia

Dwi Yati, Afi Lutfiyati, Sujono Riyadi, Abdul Hafiz


Background: Menstruation is an important event in puberty as a biological sign of sexual maturity for young women. Adolescent with intellectual disability has the same stage of biological development as normal adolescent. Menstruation often causes many problems such as menstrual pain, emotional changes and menstrual personal hygiene (such as: using sanitary napkins). It causes a lot of negative reactions and anxiety. The phenomenon that has often happened in community is feeling taboo to discuss menstrual problems, so that adolescents are not well informed. Objective of this study was to determine the association between menstrual knowledge with adolescent’s attitude of mental retardation (intellectual disability) on facing menstruation.

Methods: This research is a descriptive analytic with a cross-sectional study. It was conducted at SLB Masudi Putra I and II Bantul, in August to October 2018 with intellectual disability adolescents who experienced menstruation, those were 39 respondents. Data collection is done by using a questionnaire. Bivariate analysis was done by the Spearman rank test.

Results: The results of this research indicate that the percentages of adolescent’s knowledge of intellectual disability on facing menstruation were in medium category of 16 respondents (41.0%), and adolescent’s attitude of intellectual disability on facing menstruation mostly were negative of 24 respondents (61.5%) with p-value 0.001 (p<0.05 ) and the correlation coefficient (r) is positive at 0.495. It shows that there is an association between menstrual knowledge with adolescent’s attitude on facing menstruation with the closeness of the correlation in medium category.

Conclusions: There were an association between menstrual knowledge with adolescent’s attitude of intellectual disability on facing menstruation at SLB Marsudi Putra Bantul with p-value 0.001 (p<0.05).


Attitude, Intellectual disability, Knowledge, Menstruation

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Ministry of Health Republic of Indonesia. Child Health Services Guidelines in the School of child with Special Needed for Health Officers. Jakarta: Ministry of Health; 2010:1-5.

World Health Organization. Mental Retardation. 2011. Available at: http://www, Accessed 12 April 2018.

Education Authorities of Yogyakarta Province. Case Data Mental Retardation Children in Yogyakarta; 2014.

Basic Health Research. Basic Health Research. In: Republic of Indonesia, K. K. (ed.). Jakarta: Health Research and Development Agency; 2010: 173-192.

National population and family planning agency. health reproductions of teenagers need and important, Cooperation national population and family planning agency with STARH, USAID. Jakarta; National Population and Family Planning Agency; 2003 :3-5.

Hurlock. Developmental psychology: an approach throughout the life range, Jakarta, Erlangga. 2006; 5.

Suryani E, Widyasih H. Mother and child psychology. Yogyakarta, Fitramaya. 2008:35-48.

Tracy J, Grover S, Macgibbon S. Menstrual issues for women with intellectual disability. Australian Prescriber. 2016;39(2):54.

Yati D, Rachman IT, Ikka W. The effect of peer education to anxiety of teenagers in post menarche in sub District Kasihan Bantul, Indonesia. Int J Res Med Sci. 2015;3(1):s10-8.

Sommer M. Where the education system and women's bodies collide: the social and health impact of girls' experiences of menstruation and schooling in Tanzania. J Adolesc. 2010;33(4):521-9.

Golchin NA, Hamzehggardeshi Z, Fakhri M, Hamzehggardeshi L. The experience of puberty in Iranian adolescent girls: a qualitative content analysis. BMC Public Health. 2012;12:698.

Memarian A, Mehrpisheh S. Therapeutic and ethical dilemma of puberty and menstruation problems in intellectual disabled (autistic) female: a case report and review of the literature. Acta Medica Iranica. 2015;53:10.

Fauziah. Knowledge, attitudes, behavior about menstruation and menstrual disorders in young women in Purworejo regency. Gadjahmada Univerisity Thesis. Not published; 2005.

Notoatmodjo S. Public health sciences and arts. Jakarta: Rineka Cipta; 2007:10-25.

Chang YT. Menstrual and menarche experience among pubescent female students in Taiwan: implication for health education and promotion practice. J Clin Nurs. 2009;18(14):2040-8.

Arfan M. Health education effectiveness through multimedia e-files KRR materials and face-to-face classes against increased knowledge on adolescent reproductive health in Bantul Regency, Yogyakarta. Thesis Gadjahmada University, Not Published. 2009.

Potter PA, Perry AG. Textbook on Fundamental of Nursing: Concepts, Processes, and Practices, Jakarta: EGC. 2005;4(2):65-78.

Wulandari. The role of parents against young women perceptions of menarche in purworejo district, central java. Thesis Gadjahmada University. Not published. 2008.

Shanbhag D, Shilpa R, D'Souza N, Josephine P, Singh J, Gound BR. Perceptions regarding menstruation and practices during menstrual cycles among high school going adolescent girls in resource limited settings around Bangalore City, Karnataka, India. Int J Collaborat Res Inter Med Pub Health. 2012;4(7):1353-62.

Notoatmodjo. Health promotion theory and application, Jakarta: Rineka Cipta Limited Liability Company; 2010:12-20.